- Prime Healthcare (Montclair, CA)
- …Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments.2. Experience in basic to ... intermediate computer skills/knowledge.3. High School Diploma required. Preferred qualifications: 1. Current BCLS certificate required upon hire and maintain current preferred.2. Associates degree or LVN license preferred.3. Experience in the hospital setting… more
- Compass Group, North America (Costa Mesa, CA)
- …inventory, ordering and receiving + Knowledge of P&L accountability and contract- managed service experience is desirable + Proficient in menu development, cost ... Experience with exposition cooking needed + Knowledge of P&L accountability and contract- managed service experience is desirable + ServSafe certified is a plus… more
- Robert Half (Los Angeles, CA)
- …services such as forensic collections, data hosting, processing, analytics, and managed review. In core related processes related to intellectual property, labor ... and locally owned Member Firms provide clients with consulting and managed solutions in finance, technology, operations, data, analytics, digital, legal, HR,… more
- Centene Corporation (Sacramento, CA)
- …of strategic sales and go-to-market plans for California large group managed care clients, ensuring alignment with organizational goals and market dynamics. ... long term and short term sales objectives. + Oversee the pipeline of managed care/commercial market opportunities to enhance sales. + Ensure successful sales process… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …and work with Social Services staff to ensure that all legal holds are managed on a concurrent basis, ensuring no unnecessary lapse of legal detainer. Assist and ... of California Mental Health Laws. + Two or more years' experience working in managed care environment + Ability to apply and interpret admission and continued stay… more
- Cedars-Sinai (Los Angeles, CA)
- …professional billing and/or collections experience required. + Experience with Commercial, Medicare Managed Care, and Medi-Cal Managed care highly preferred. + ... Experience with MS office, Web/Vs, Availity, and CS-Link preferred. + Solid understanding of regulatory and CSHS policies and procedures. Basic understanding of HIPAA and other privacy information guidelines + Ability to perform business math. + Ability to… more
- Deloitte (Fresno, CA)
- Deloitte's Enterprise Operations as a Service provides multi-year managed service contracts to support enterprise technology investments and key business processes. ... + Promote an effective forum for sharing SAP expertise The team Our managed services focuses on on-going operations and maintenance of the SAP platform, including… more
- Insight Global (San Diego, CA)
- …billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned. It is a requirement for the Reimbursement ... Medical Equipment) medical billing - Experience with HMO, PPO, capitated Payers, medicaid managed care payers - Experience with 340B guidelines and reg, factor drug… more
- Sutter Health (Mountain View, CA)
- …+ Demonstrated knowledge in areas of physician practice operations and financing and managed care business Prior experience in a managed care market required ... + Demonstrated record of developing highly effective working relationships with physicians. + Communication skills including oral, written and presentation. + Effective leadership skills and decision-making skills. **Job Shift:** Days **Schedule:** Full Time… more
- LA Care Health Plan (Los Angeles, CA)
- …(CSC) Representative II has advanced knowledge of healthcare and various managed care product lines, including Medi-Cal, PASC, LA Care Covered/Cal Medi-Connect ... entry experience with ability to type a minimum of 40 wpm. Preferred: Managed care or health plan experience. Previous Automatic Call Distribution (ACD) experience… more